HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/06/2021
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Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:GARAGE DOOR
Address: 213 E ARBOR AVE
Property Tax ID #: 3419-501-0022-000-3
Site Plan Name:
Project Name: CASWELL
REPLACE 10'2X7 73W6 GARAGE DOOR
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 1101.00
NameTERRY CASWELL
Address:213 E ARBOR AVE
City: PORT ST LUCIE State:
Zip Code: 34952 Fax:
Phone No.772-634-7084
E-Mail:
_ Generator
Sq. Ft. of First Floor:
Residential YES
Windows/Doors
Roof
Lot No.
Block No.
Utilities: —Sewer —Septic Building Height:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name:CONNIE GRACE
Pond
Pitch
Company: D&D GARAGE DOORS
Address:435 NW ENTERPRISE DR
City: PORT ST LUCIE State: FL
Zip Code: 34986 Fax: 772-460-7635
Phone N0772-460-7630
E-Mail DAISY@DDGARAGEDOORPSL.COM
State or County License31521
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
Name:_
Address:
City:
Zip:
Phone
State
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:-
Not Applicable
te:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording your Notice of Commencement.
as Agent for Owner
STATE OF FLORIDA_
COUNTY OF `� 11+ i e
Swoyn to (or affirmed) and subscribed before me of
V Physical Presence or Online Notarization
this C day of ��t� 2024 by
Name of person making statement.
Personally Known V OR Produced Identification
Type of Identification
Produced
(Signature of No ary Public- 1!State of Florida )
[-1-/ ti ot�";`,°�s�, MICHAEL WALZAt
Commission No. j' i I—�-I * �s *al)Commission#HH087
N. o� Expires February 2, 21
REVIEWS I FRONT ZONING
COUNTER I REVIEW
DATE
RECEIVED
DATE
COMPLETED
Signature o Contractor/License Holder
STATE OF FLORIDA
COUNTY OF -°�' Li•`Li
Sworn to (or affirmed) and subscribed before me of
i�Physical Prese ce or Online Notarization
this �I day of � r ( 2020 by
Name of person making statement.
Personally Known I/ OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of FlorLW�
'f MICHAEL WAI
Commission No.-O037 I'q I * ) Commission #HH
NT Expires February
5 9TFOF f�OPo Bonded Thru Budget Not
SUPERVISOR I PLANS I VEGETATION I SEATURTLE I MANGROVE
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